Sexual Orientation of the Therapists and Therapeutic Effectiveness with Gay Clients

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Abstract
The psychotherapeutic effects of client-therapist similarity and difference have been investigated and reported in the areas of social class, gender, race, religion, culture, politics, wealth, education, age, personality, and sexual mores, but very rarely with regard to sexual-affect ional orientation. This paper examines the literature on relationship variables in psychotherapy, and on client-therapist similarity as one of those relationship variables. These broader issues are related to the more specific subject to similarity or difference of sexual orientation between client and therapist, and to the implications of the variable for psychotherapeutic process and outcome with lesbian and gay male clients.

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